NPI | 1679996714 |
---|---|
Former Name | KHUSHBOO PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD472255) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275880) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-01-24 |
Last Update Date | 2024-09-10 |